The nurse instructs a mother on actions to prevent sibling rivalry between a toddler and a newborn. Which observation indicates that instruction has been effective?

Mother sets aside afternoon time for the toddler while the baby naps.

Mother sleeps while newborn is sleeping.

Mother asks if the toddler likes the new baby.

Mother suggests family not bring gifts to the toddler until behavior changes.

Answer and Explanation

The Correct Answer is A

A. Mother sets aside afternoon time for the toddler while the baby naps.

Setting aside dedicated time for the older sibling when the newborn is napping demonstrates a proactive approach to ensuring the older child receives attention and feels valued, reducing the likelihood of resentment or rivalry.

B. Mother sleeps while newborn is sleeping:

While rest is important for the mother, this doesn't directly address the dynamics of sibling rivalry. It's essential to focus on positive interactions and attention for the toddler when the newborn is not requiring immediate care.

C. Mother asks if the toddler likes the new baby:

While communication is important, simply asking if the toddler likes the new baby may not be sufficient to prevent sibling rivalry. Actions and dedicated time are often more impactful.

D. Mother suggests family not bring gifts to the toddler until behavior changes:

Delaying gifts based on behavior may create an association between gifts and behavior change, which might not be the most effective approach. Positive reinforcement and attention are often more beneficial in preventing rivalry.

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Correct Answer is B

Explanation

A. Inability to make audible voice sounds:

This symptom is more indicative of conditions affecting the vocal cords or larynx, such as laryngitis. Tonsillitis primarily involves inflammation of the tonsils and may not directly impact the ability to make audible voice sounds.

B. Erythema of the pharynx:

Erythema (redness) of the pharynx is a common manifestation of tonsillitis. Inflammation of the tonsils and surrounding areas can lead to redness and swelling in the throat.

C. Bark-like cough:

A bark-like cough is often associated with croup, which involves inflammation of the larynx and trachea, not the tonsils. It is a distinct condition from tonsillitis.

D. Hoarseness:

Hoarseness can be a symptom of various conditions affecting the vocal cords or larynx, but it is not a typical manifestation of tonsillitis. Tonsillitis is more commonly associated with sore throat, difficulty swallowing, and erythema of the pharynx.

A. Apply warm, moist compresses to the neck area B. Observe for excessive swallowing C. Provide liquid acetaminophen with codeine as ordered. D. Place child in a partially prone position with head turned to one side in the immediate post-operative period. E. Offer orange juice, lemonade, or milk to drink once awake and alert.

Correct Answer is ["B","C","D"]

Explanation

A. Apply warm, moist compresses to the neck area:

Warm, moist compresses are not typically used in the postoperative care of a tonsillectomy. Cold compresses or ice packs may be recommended to reduce swelling.

B. Observe for excessive swallowing:

Excessive swallowing may indicate bleeding, and close monitoring for any signs of bleeding is important.

C. Provide liquid acetaminophen with codeine as ordered:

Pain management is crucial postoperatively, and providing pain medication as ordered helps ensure the child's comfort.

D. Place the child in a partially prone position with the head turned to one side in the immediate post-operative period:

This position helps facilitate drainage and reduce the risk of aspiration. However, the specific positioning may vary based on the surgeon's preference.

E. Offer orange juice, lemonade, or milk to drink once awake and alert:

Citrus juices and milk are usually avoided in the immediate postoperative period to prevent irritation to the surgical site. Clear fluids or those recommended by the healthcare provider are typically introduced gradually.

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The nurse instructs a mother on actions to prevent sibling rivalry between a toddler and a newborn. Which observation indicates that instruction has been effective?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is collecting data on a child with a diagnosis of tonsillitis. Which clinical manifestation would likely have been noted in the child with this diagnosis?

Correct Answer is B

Explanation

Nursing care of the child who is postoperative from a tonsillectomy should include: (Select All That Apply)?

Correct Answer is ["B","C","D"]

Explanation

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